ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, SC (NPI# 1629165071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629165071 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, SC |
| Practice Address |
114 E. Greentree Road Clintonville WI 54929-1182 |
| Mailing Address |
4000 N Providence Ave Appleton WI 54913-8018 |
| Practice Telephone | 7158233336 |
| Practice Fax Number | 7158233936 |
| Mailing Telephone | 9202572000 |
| Mailing Fax Number | 9202572004 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | PAUL STEVEN BARNETT (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9202572000 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41746300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134214133 | Orthopedic & Spine Therapy of Clintonville, Sc | Durable Medical Equipment & Medical Supplies | 205 W. Green Bay Street, Shawano, WI 54166-2333 | 2006-10-04 |
| 1821105354 | Orthopedic & Spine Therapy of Clintonville, Sc | Physical Therapist | 205 W Green Bay St, Shawano, WI 54166-2333 | 2006-08-23 |
| 1528172988 | Orthopedic & Spine Therapy of Clintonville, Sc | Physical Therapist | 114 E Green Tree Rd, Clintonville, WI 54929-1182 | 2006-08-19 |
| Street Address |
114 E. GREENTREE ROAD |
| City | CLINTONVILLE |
| State | WI |
| Zip Code | 54929-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255445680 | Leah K. Smejkal | Physical Therapist | 114 E. Greentree Road, Clintonville, WI 54929 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003045402 | Griebenow Eyecare, S.c. | Optometrist | 45 10th St., Clintonville, WI 54929 | 2009-07-07 |
| 1093835266 | William Henry Krueger | Chiropractor | E9180 Golf Club Road, Clintonville, WI 54929 | 2007-03-30 |
| 1962422303 | Clintonville Area Ambulance Service | Ambulance | 16 N. Main, Clintonville, WI 54929 | 2006-07-20 |
| 1649225970 | Jill I. Timm | Physical Therapist | 114 E Greentree Road, Clintonville, WI 54929 | 2006-05-24 |
| 1104242999 | Cloverleaf Healthcare, Inc. | Skilled Nursing Facility | 1625 E Main St, Clintonville, WI 54929 | 2014-03-17 |
| 1124286406 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 61 Anne St, Clintonville, WI 54929 | 2008-05-23 |
| 1174734289 | Samuel John Buckett | Chiropractor | E9180 Golf Club Road, Clintonville, WI 54929 | 2007-05-24 |
| 1811057961 | Karen Agnete Johnson | Dentist | 112 S Main Street, Clintonville, WI 54929 | 2006-12-11 |
| 1164509154 | Erickson Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8 S Main St, Clintonville, WI 54929 | 2006-11-01 |
| 1952503245 | Erin Ann Schley | Specialist | 70 W Green Tree Rd, Clintonville, WI 54929-1009 | 2007-05-31 |
| Find all providers in zip 54929 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720098650 | Network Health System, Inc. | Durable Medical Equipment & Medical Supplies | 61 Anne St, Clintonville, WI 54929-1366 | 2006-08-09 |
| 1891083069 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 S Main St, Clintonville, WI 54929-1656 | 2011-07-21 |
| 1164509154 | Erickson Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8 S Main St, Clintonville, WI 54929 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659983070 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 507 Jefferson St E # 34, West Salem, WI 54669-9560 | 2020-08-18 |
| 1356959506 | A Journey Home Medsupply | Durable Medical Equipment & Medical Supplies | 9575 W Fond Du Lac Ave Apt 19, Milwaukee, WI 53225-1645 | 2020-07-14 |
| 1801410097 | Discountramps.com LLC | Durable Medical Equipment & Medical Supplies | N102w19400 Willow Creek Way, Germantown, WI 53022-3703 | 2020-06-03 |
| 1861016404 | Active Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1233 N Mayfair Rd Ste 120, Wauwatosa, WI 53226-3255 | 2020-05-29 |
| 1164059150 | Access Mobility Vans, Inc. | Durable Medical Equipment & Medical Supplies | 1995 E. Norse Ave., Cudahy, WI 53110 | 2020-03-27 |
| 1114551165 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3536 52nd St Ste P, Kenosha, WI 53144-2662 | 2020-02-28 |
| 1972137842 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 4635 W College Ave Ste 114, Appleton, WI 54914-8507 | 2020-02-28 |
| 1104458140 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1818 S. Rapids Rd, Manitowoc, WI 54220-9302 | 2020-02-07 |
| 1619511599 | Xceed Medical, LLC | Durable Medical Equipment & Medical Supplies | 5307 S 92nd St Ste 125, Hales Corners, WI 53130-1677 | 2019-11-04 |
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
| City | CLINTONVILLE |
| Zip Code | 54929 |
Please comment or provide details below to improve the information on ORTHOPEDIC & SPINE THERAPY OF CLINTONVILLE, SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.